Active NPI
D Diabetic Foot Centre and Walking Institute, LLC
Doing business as Sage Thomas Foot and Ankle
- Foot Surgery Podiatrist
- Grand Blanc, MI
National Provider Identifier
1467620021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 5901001885
- Legal business name
- D DIABETIC FOOT CENTRE AND WALKING INSTITUTE, LLC
- Doing business as
- Sage Thomas Foot and Ankle
- Practice address
- 12745 S Saginaw St
Suite 806
Grand Blanc, MI 48439-2437 - Phone
- (810) 695-6950
- NPI assigned
- Feb 18, 2008
- Last updated
- Jul 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel E.a. Thomas, DPM
- Title
- Manager
- Phone
- (810) 691-0971
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 5901001885 | MI | Primary |
Addresses
Primary practice location
12745 S Saginaw St
Suite 806
Grand Blanc, MI 48439-2437
Mailing address
12745 S Saginaw St
Suite 806
Grand Blanc, MI 48439-2437
Phone (810) 695-6950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480B518380 | Other | MI | BCBS PIN |
Other names 1
- Sage Thomas Foot and Ankle
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Grand Blanc, MI
- NPI 1245338961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1467620021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12745 S SAGINAW ST",
"address_2": "SUITE 806",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392437",
"telephone_number": "810-695-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12745 S SAGINAW ST",
"address_2": "SUITE 806",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392437",
"telephone_number": "810-695-6950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D DIABETIC FOOT CENTRE AND WALKING INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-18",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "E.A.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "810-691-0971",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MI",
"license": "5901001885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "480B518380",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sage Thomas Foot and Ankle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.